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Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases

OBJECTIVE: Chronic subdural hematoma (CSDH) is a common form of extra axial hemorrhage in the elderly. A surgical procedures such as a burr hole trephination are used for the CSDH treatment. The recurrence rate of CSDH is reported to range from 2.3 to 33%. In the current study, we focused on the det...

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Autores principales: Kim, Junhak, Moon, Jongun, Kim, Tackeun, Ahn, Seongyeol, Hwang, Gyojun, Bang, Jaeseung, Kwon, O-Ki, Oh, Chang Wan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847492/
https://www.ncbi.nlm.nih.gov/pubmed/27169067
http://dx.doi.org/10.13004/kjnt.2015.11.2.63
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author Kim, Junhak
Moon, Jongun
Kim, Tackeun
Ahn, Seongyeol
Hwang, Gyojun
Bang, Jaeseung
Kwon, O-Ki
Oh, Chang Wan
author_facet Kim, Junhak
Moon, Jongun
Kim, Tackeun
Ahn, Seongyeol
Hwang, Gyojun
Bang, Jaeseung
Kwon, O-Ki
Oh, Chang Wan
author_sort Kim, Junhak
collection PubMed
description OBJECTIVE: Chronic subdural hematoma (CSDH) is a common form of extra axial hemorrhage in the elderly. A surgical procedures such as a burr hole trephination are used for the CSDH treatment. The recurrence rate of CSDH is reported to range from 2.3 to 33%. In the current study, we focused on the determination of risk factors associated with the recurrence of CSDH. METHODS: We retrospectively reviewed 368 consecutive patients with CSDH treated by burr hole trephination. Univariate and multivariate analysis were performed to describe the relationships between clinical and radiological factors as well as the recurrence of CSDH. RESULTS: Totally 31 (8.4%) patients experienced a recurrence of CSDH in our study. The male group (10.2%) had a higher recurrence rate than the female group (3.1%). Also patients with malignant neoplasm history showed a high recurrence rate (17.9%). The recurrence rate of single layer CSDH (13.1%) and isodensity CSDH (11.7%) was highly significant also. CONCLUSION: Sex, history of malignant neoplasm and the hematoma type on computed tomography were factors related with the recurrence of CSDH in our study. These findings may be supportive in the identification of patients at risk for a recurrence of CSDH.
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spelling pubmed-48474922016-05-10 Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases Kim, Junhak Moon, Jongun Kim, Tackeun Ahn, Seongyeol Hwang, Gyojun Bang, Jaeseung Kwon, O-Ki Oh, Chang Wan Korean J Neurotrauma Clinical Article OBJECTIVE: Chronic subdural hematoma (CSDH) is a common form of extra axial hemorrhage in the elderly. A surgical procedures such as a burr hole trephination are used for the CSDH treatment. The recurrence rate of CSDH is reported to range from 2.3 to 33%. In the current study, we focused on the determination of risk factors associated with the recurrence of CSDH. METHODS: We retrospectively reviewed 368 consecutive patients with CSDH treated by burr hole trephination. Univariate and multivariate analysis were performed to describe the relationships between clinical and radiological factors as well as the recurrence of CSDH. RESULTS: Totally 31 (8.4%) patients experienced a recurrence of CSDH in our study. The male group (10.2%) had a higher recurrence rate than the female group (3.1%). Also patients with malignant neoplasm history showed a high recurrence rate (17.9%). The recurrence rate of single layer CSDH (13.1%) and isodensity CSDH (11.7%) was highly significant also. CONCLUSION: Sex, history of malignant neoplasm and the hematoma type on computed tomography were factors related with the recurrence of CSDH in our study. These findings may be supportive in the identification of patients at risk for a recurrence of CSDH. Korean Neurotraumatology Society 2015-10 2015-10-31 /pmc/articles/PMC4847492/ /pubmed/27169067 http://dx.doi.org/10.13004/kjnt.2015.11.2.63 Text en Copyright © 2015 Korean Neurotraumatology Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Article
Kim, Junhak
Moon, Jongun
Kim, Tackeun
Ahn, Seongyeol
Hwang, Gyojun
Bang, Jaeseung
Kwon, O-Ki
Oh, Chang Wan
Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases
title Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases
title_full Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases
title_fullStr Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases
title_full_unstemmed Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases
title_short Risk Factor Analysis for the Recurrence of Chronic Subdural Hematoma: A Review of 368 Consecutive Surgical Cases
title_sort risk factor analysis for the recurrence of chronic subdural hematoma: a review of 368 consecutive surgical cases
topic Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847492/
https://www.ncbi.nlm.nih.gov/pubmed/27169067
http://dx.doi.org/10.13004/kjnt.2015.11.2.63
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